Dr. Cecchinni Marshfield Clinic 032015
Mar 24, 2015|
Bill Michaels interviews the Doctor who repaired his knee.
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Automatically Generated Transcript (may not be 100% accurate)
You know Michael's here I'm talking today doctor Allen to teeny orthopedic surgeon for the Marshall clinic and the man to perform the surgery on mine knee recently. First of all let me ask you this as to why do people wait so long when they're bailing when they got aches and women got means. Yards that's a question but I think a lot of people. At first think that the pain was just eventually go away they may have tweaked your knee they may have injured her knee and they just give it some time. They think that with arms they don't get better a lot of times it does sometimes they won't they they try to medications such is. Ibuprofen. And bill power at all even place heat that are. If he's icing he topical medications those kind of things and some I guess you chalk it up to maybe they're just. Getting a little older and your general mark for artists. That they some have even come to accept that with age. Was down to be some pain in the stroke further knee or shoulder and they just Carner I think except that and just kind of go on and you know maybe that's not always the case. How much does so did the new home say insurance is play and all this too because they don't want awaits me or they wanna wait because. You have Zhang co pays or they have to hit a certain amount of money before they actually coming to see a doctor for something major. That we see that a lot Nelly you know it's this couple years I've been a practiced. Fifteen years I've seen a more and more of the last couple years that is a big base some people have these huge 101000 or so or Morton. Our deductibles are not so they do weight found. And a lot of times now with different types of shorts as they have to. Go through a six week period of taking an anti inflammatory or they have to have but documentation that they failed. So many weeks or months of anti inflammatory they've failed. RB already before they they can get the C north speaks urgency even discuss a surgical options. Now when they finally come in and they say look I've got pain here there are just like he did with me for and you say okay here's the knee let's take a look at what specifically when you given any aches and pains. When you're looking at the assessment the diagnosis of something what is it you're looking for. Yeah he would lose you look for how much pain of a having visited Billy Payne is a constant pain in the night Payne is a pain with activities. Those are niece well. What kind of activities aggravated bone up and downstairs. You know are they doing too much as far as exercising or they were running on the counting when they're in the a lot of those kind of things. And where in the knee doesn't hurt front of their means that the sides. But I think article you and has to walk you know where what whether this could be just. A patella kneecap issue or municipal issues. They have it an injury or just something that just has come more and within injury and ankle maybe more than this or ligament there. Now like would me when we got in and then finally said okay this is what the problem is. And would mine the have in the miniscule terror. When we got there when I arrived everything was pretty much laid out you guys had everything from beginning the and exactly what was going to happen exactly what I was going to go through. Right yes he come into the office. You have he had already had a actuary and memorize so we had those. Used to look at go over. They're you've examined that patient you know you. It over with and the that the MRI findings of the article you have findings I usually try to correlated with a knee model that they kind of see what's what's going on. Common that once we decided that surgery is an option than. Feel you decide to do the surgery we would talk about. The surgery itself or going to do how we're going to do it the rest the complications that benefits from the surgery. And then we take you through a pre op course usually. Movie. Sometimes it's even but there you beforehand. Trying to occasion the patient how to use crutches beforehand especially seeing their primary care position. I think that's key you know to discuss any medical issues that they may have before the surgery. Optimize their medical care so that there's. You know no surprises at the time of surgery. And then telling the patient what they're gonna do stop you know as far as are they going to be able to walk on it and they moved it and they bend it. Some exercises. Along these approaches are they gonna be out of work for an indefinite period of time where. I shorter period of time and the medication they may be taking in more than the benefits of that then wrestled and out that those medications. So but it does therapy immediately afterward so that you have to try to inform your patience as best you can. And try to you know cover cover your bases and that has been so that they can spend their life as well just. Now with my knee surgery you guys had to go and you had to clean it out it had to have you know some some things snipped on so to speak had to go in three different angles talk about the surgery itself and what it is that I had to go through. Yet asserted that you come into the operating room you usually purposely for the case. We. Sometimes we lead a tourniquet around relate to it that it that it creates kind of a bloodless feel forced. That we make about three. It's very little holes around the knee I would Porter are pushed open those holes it's like a telescope I think it is a great advantages. Of visualizing your knee without having to open up to me like we did years years ago. And if that is the art of what others do. I'll fully evaluate the Arctic or cartilage. Underneath the meniscus as all of the ligament Sunday and the through those holes we have instrumentation that we can. Again smoothed out a meniscus and we got a piece of cartilage. Or if a work in the ligament reconstruction through those those holes and very small incision. Now the post up for me other than just waking up and make your job is still alive should talk about the post up the recovery because I had a couple of days Rose is trying to hobble around and and after that it was pretty was pretty much good. Are you are you most people you know we we we. Tell them you know get machine has some exercises to do. Right after the surgery ankle arms we try to rest as a reason for them to not walk on it we tell them to the wall quarter it. Honest you know right away he's a crutch as you may not be able to put. A lot of weight water right away but is he over the we are most spacious eroded their crutches. And then it's just moving it element you know elevating icing it and initially and those kind of things get some of the swelling down pick in the pain medication. The idea if I had our laboratories. And then most people move along over the next you know Ford a 68 weeks and some people pick a little longer than others but most people kind of yet you know you get to where they want to be released where they need to be within that period of time. Now we talked about the post up and as far as improving quality elect the -- the biggest thing is is being pain free now. Should everybody if they've got picked aches and pains is there things -- have to say. It's just age or just is what it is or should you should should you be heavily without any pain at all. The other sometime you'll be viewed using Hedo in front are that the performer are prospering you know going had a car that's the patient may have a more artists then. You know that may be important when meets the eye on your trade and things like that and they need to go inside. The need to take a look and they are here you thought well maybe they just had somewhere in terrible it they actually know you know where Carol was down to bone. And Dillon may be in multiple places and gated if you don't want more chief counsel them post op. You have to tell those patients that you know your knee is really Wear you out and it may be as good as it gets you know it's legal 68 weeks go by may be in pretty Morrison. If there are still having pain or discomfort that may just be as it is wanna get sometimes. Patients they have to live with a little bit of pain and discomfort hopefully you've made a better. What you can't always promise that you'll take away all the pain now. Thanks god so many out there is listening in dealing with pain or immobility your problems resulting from an injury of some kind take it for me it just doesn't make sense to win or Marshall clinic locations nearly everywhere within the sound of my voice lives you can get in the same day for an appointment if you call before noon to find a location near you or to researching all the find positions and services just go to march should clinic dot org. That's marsh field clinic dot org march till clinic you don't just slid to shine.